One of the most underutilized resources for occupational therapy that is funded by the federal government is early intervention. Early intervention occupational therapy is typically for kiddos 0-3 years, but varies by state and can be 0-5 years. However, how early intervention is provided and the rules and standards are set by each state in the United States.
Early intervention services are designed to help children achieve their developmental milestones and enhance their overall quality of life. OT in early intervention primarily addresses the following areas:
- Fine Motor Skills: Occupational therapists work with young children to develop and improve fine motor skills, such as grasping objects, manipulating toys, and developing hand-eye coordination.
- Activities of Daily Living: OTs help children with essential daily activities, such as feeding, dressing, grooming, and bathing, to promote independence.
- Sensory Processing: Occupational therapists may address sensory processing issues, helping children regulate their responses to sensory stimuli and engage more effectively in their environment.
- Gross Motor Skills: In addition to fine motor skills, OTs can also work on gross motor skills, which are important for activities like crawling, walking, and playing.
- Cognitive Skills: Therapists assist in enhancing cognitive skills, such as problem-solving, attention, and memory.
- Social and Emotional Development: OTs can help children improve their social skills and emotional regulation, promoting interaction with peers and caregivers.
The delivery of early intervention services can vary by state in the United States due to differences in state regulations, funding, and policies. Some of the key ways early intervention services may vary from state to state include:
- Eligibility Criteria: The criteria for determining which children are eligible for early intervention services can vary. States have their own guidelines for what constitutes a developmental delay or disability that qualifies for services.
- Service Delivery Models: States may use different service delivery models, such as center-based programs, home-based interventions, or a combination of both.
- Service Providers: The professionals who provide early intervention services may differ from state to state. In addition to occupational therapists, speech therapists, physical therapists, and other specialists may be involved.
- Funding and Resources: Funding and available resources for early intervention services can vary significantly among states, affecting the quantity and quality of services provided.
- Parent Involvement: The degree of parent involvement and the way parents are included in the planning and implementation of services can differ between states.
- State Regulations: Each state may have specific regulations governing early intervention programs, including the qualifications and licensure requirements for professionals delivering services.
- Age Ranges: The age range for early intervention services can vary slightly from state to state, typically covering children from birth to age three.
A very useful resource that the CDC has is a list of early intervention programs by state. The following early intervention programs were referenced from this page.
Alabama
Alabama’s Early Intervention System
(800) 543-3098 (English)
(866) 450-2838 (Spanish)
Alaska
Alaska Early Intervention/Early Learning Program
(877) 477-3659 or (907) 269-8442
Arkansas
First Connections
(800) 643-8258
Arizona
Arizona Early Intervention Program (AzEIP) | Arizona Department of Economic Security
(888) 592-0140
California
Early Start
(800) 515-2229
Colorado
Early Intervention Colorado
(888) 777-4041
Connecticut
Birth to Three Program
(800) 505-7000
Delaware
Birth To Three
(800) 671-0050: New Castle County
(800) 752-9393: Kent/Sussex County
Florida
Early Steps
(800) 218-0001
Georgia
Babies Can’t Wait
(800) 229-2038
Hawaii
Early Intervention Section
(808) 594-0066 or (800) 235-5477
Idaho
Infant Toddler Program (ITP)
(800) 926-2588 or dial 2-1-1
Illinois
Illinois Early Intervention Program
(800) 323-4769
Indiana
First Steps
(800) 545-7763
Iowa
Early ACCESS
(888) 425-4371
Kansas
Infant Toddler Program
(800) 332-6262 or (785) 296-6135
Kentucky
First Steps
(877) 417-8377
Louisiana
Early Steps
(866) 327-5978
Maine
Child Developmental Services
(877) 770-8883
Maryland
Maryland Infants and Toddlers Program
(800) 535-0182
Massachusetts
Massachusetts Early Intervention
(800) 905-8437
Michigan
Early On
(800) 327-5966
Minnesota
Help Me Grow
(866) 693-4769
Mississippi
First Steps
(800) 451-3903
Missouri
First Steps
(866) 583-2392
Montana
Early Intervention Program
(406) 444-5647
Nebraska
Early Development Network (EDN)
(888) 806-6287
Nevada
Early Intervention Services
(800) 522-0066
New Hampshire
Family Centered Early Supports & Services
(800) 852-3345, ext. 5034 or (603) 271-5034
New Jersey
New Jersey Early Intervention System (NJEIS)
(888) 653-4463
New Mexico
Family Infant Toddler Program
(866) 696-1472
New York
New York State Early Intervention Program (EIP)
(800) 522-5006 or (518) 473-7016
North Carolina
North Carolina Infant-Toddler Program (ITP)
(919) 707-5520
North Dakota
Early Intervention Program
(800) 755-8529 or (701) 328-8930
Ohio
Help Me Grow
(800) 755-4769
Oklahoma
SoonerStart
(405) 271-8333
Oregon
Early Intervention and Early Childhood Special Ed
(503) 947-5731
Pennsylvania
Early Intervention
(800) 692-7288
Rhode Island
Early Intervention Program
(401) 270-0101
South Carolina
BabyNet
(877) 621-0865
South Dakota
Birth to Three
(800) 305-3064
Tennessee
Tennessee’s Early Intervention System (TEIS)
(800) 852-7157
Texas
Early Childhood Intervention (ECI)
(877) 787-8999
Utah
Baby Watch
(800) 961-4226
Vermont
Early Intervention Services for Infants and Toddlers
(800) 649-2642
Virginia
Infant Toddler Connection of Virginia
(800) 234-1448
Washington
Early Support for Infants and Toddlers (ESIT)
(800) 322-2588
West Virginia
Birth to Three
(866) 321-4728
Wisconsin
Birth to 3 Program
(800) 642-7837
Wyoming
Early Intervention and Education Program Unit
(307) 777-7115
District of Columbia
Strong Start
(202) 727-3665
Puerto Rico
Early Intervention
(787) 765-2929 ext. 4550, 4557 ó 4598
(Spanish only)
Guam
Guam Early Intervention System (GEIS)
(671) 300-5776 or (671) 300-5816
American Samoa
Helping Hands
ruth.teo@helpinghands-as.org
(684) 633-8553 or (684) 633-8435 (fax)
United States Virgin Islands
The Infants and Toddlers Program
(340) 777-8804 ext 2629 (St. Thomas)
(340) 773-1311 ext 3124 (St. Croix)
Commonwealth of the Northern Marianna Islands
Early Intervention Services
(670) 483-3903 or (670) 664-4841